Case mix index analysis | Human Resource Management homework help

 

Don't use plagiarized sources. Get Your Custom Essay on
Case mix index analysis | Human Resource Management homework help
Just from $13/Page
Order Essay

Content Link: MS-DRGs and CMI

Objectives:

  1. Calculate the Case Mix Index for a selected group of cases.
  2. Analyze Case Mix Indices for different facilities.
  3. Evaluate the impact of utilization patterns on a facility’s Case Mix.

Introduction

The case mix of a patient population is a description of that  population based on any number of the following characteristics such as  age, gender, treatments received or resources used. Case Mix Analysis is  used to determine reimbursement, to describe a population being served  and to identify differences in practice patterns or coding complexity.

The case mix index is the average of the relative weights of all  cases treated at a given facility. The theoretical average CMI is 1.000.  CMI’s over 1.000 signify more complex cases and CMI’s less than 1.000  signify less complex cases. Factors that influence a facility’s case mix  index include:

  • Changes made in relative weight values
  • Changes in the type of services offered or provided by the facility
  • Accuracy of documentation and coding in MS-DRG or APC assignment

Case Mix Analysis begins with the calculation of the Case Mix Index.  The Case-Mix Index is the average of the relative weights of all cases  treated at a given facility or by a given physician. The formula for  calculating the Case Mix Index is:

The total number of CMS Relative Weights for all of the cases divided by the total number of patients served.

Example: Commonwealth Hospital – Top 5 MS DRGs


 The total CMS Relative Weight is 213.0332

  The total number of patients served is 78

The Case Mix Index is 213.0332 / 78 = 2.7311

  Part I Written Assignment

  Scenario:

  You are the HIM Director for PrimeCare Medical Center and you are  charged with the task of analyzing your facility’s case mix and  comparing your Case Mix Index with comparable facilities in your area.  The top 5 procedures performed in your facility are listed below:

PrimeCare – Top 5 MS DRGs

  1. Calculate the Case Mix Index for the top 5 MS DRGs for your  facility. Report all calculations to four places after the decimal point  for the most accurate CMI. 
  2. The Transplant Surgery Department has predicted a 20% increase in  kidney cases for the next fiscal year and the Urology department has  predicted a 10% decrease in major bladder procedures. Recalculate the  CMI to account for these predictions. Report all calculations to four  places behind the decimal point for the most accurate CMI.
  3. Prepare a short report (1 page) to the Finance Department that  analyzes the impact of the projected changes in utilization practices.  In your report include the new projected CMI. The purpose of the report  would not be to give actual facts and figures just to identify areas  that would be impacted by the projected changes.

Part II Written Assignment

Review the Case Mix Index figures in the table below.

Overall Case Mix Index FY 20xx
   Facility                Year 1      Year 2      Year 3
   Hospital A            1.7694      1.9052      1.9689
   Hospital B            1.5925      1.5554      1.7715
   Hospital C            1.6443      1.7073      1.9003
   Hospital D            1.5053      1.9471      1.8945
   State Average       1.6667      1.7712      1.9085

a. Prepare a graphic representation that compares each of the hospital figures to the state average for each year.
  b. Evaluate the data contained in the table. What types of conclusions  can be drawn from this information about each hospital and the state  average for each year? Prepare a short report (1 page) that evaluates  the possible explanations as for why each facility’s overall CMIs were  higher or lower that the state average for each year.

Place Order
Grab 16% Discount On This Paper
Pages (550 words)
Approximate price: -

Why Choose Us

Quality Papers

We value our clients. For this reason, we ensure that each paper is written carefully as per the instructions provided by the client. Our editing team also checks all the papers to ensure that they have been completed as per the expectations.

Professional Academic Writers

Over the years, MyEssay.Help has managed to secure the most qualified, reliable and experienced team of writers. The company has also ensured continued training and development of the team members to ensure that it keep up with the rising Academic Trends.

Affordable Prices

Our prices are fairly priced in such a way that ensures affordability. Additionally, you can get a free price quotation by clicking on the "Place Order" button.

On-Time delivery

We pay strict attention on deadlines. For this reason, we ensure that all papers are submitted earlier, even before the deadline indicated by the customer. For this reason, the client can go through the work and review everything.

100% Originality

At MyEssay.help, all papers are plagiarism-free as they are written from scratch. We have taken strict measures to ensure that there is no similarity on all papers and that citations are included as per the standards set.

Customer Support 24/7

Our support team is readily available to provide any guidance/help on our platform at any time of the day/night. Feel free to contact us via the Chat window or support email: support@myessay.help.

Try it now!

Grab 16% Discount On This Paper

We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

MyEssay.help has stood as the world’s leading custom essay writing services providers. Once you enter all the details in the order form under the place order button, the rest is up to us.

Essays

Essay Writing Services

At MyEssay.help, we prioritize on all aspects that bring about a good grade such as impeccable grammar, proper structure, zero-plagiarism and conformance to guidelines. Our experienced team of writers will help you completed your essays and other assignments.

Admissions

Admission and Business Papers

Be assured that you’ll definitely get accepted to the Master’s level program at any university once you enter all the details in the order form. We won’t leave you here; we will also help you secure a good position in your aspired workplace by creating an outstanding resume or portfolio once you place an order.

Editing

Editing and Proofreading

Our skilled editing and writing team will help you restructure you paper, paraphrase, correct grammar and replace plagiarized sections on your paper just on time. The service is geared toward eliminating any mistakes and rather enhancing better quality.

Coursework

Technical papers

We have writers in almost all fields including the most technical fields. You don’t have to worry about the complexity of your paper. Simply enter as much details as possible in the place order section.

                                                                                     Place Order macbook tamir - mersin escort - envidatoken - bahis